HomeMy WebLinkAboutB14-0362 REV1 �� Qepartment of Community Development
I (� 75 South Frontage Road
TOi�I/�fi t�F VAIL� � �� '>. � r:: Vail, CO 81657
�, � � �` �o Tel: 970.479.2128
-------- www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
_ _ _ ._ ___._.._ .__._ ___. _. ....._._.._ _ _. _ . __._ . . _.. .
Application/Permit#(s)information applies
to: ` � . � Attention: evisions
/ , -, �Response to Correction Letter
�� � �- v� � �� ' fZ,attached copy of correction letter
�� 1 �'— ��C� � (�Otherred Submittal
Project Street Address: �
��4�5 �-.(C�Y`.1-��If��� C/� �}L(�5
(Number) (Street) (Suite#) -- __ __ _ _ _.
Building/Complex Name: �� l �- ��—( Ur� ' Description of Transmittal/List of Changes, Items Attached:
���'.��^<��-t'C:� L.�>�'�- L.�.��' � -
Applicant Information
� _ ; �.c�.`� �.C.%y .
(architect,contractor,owner/owner's rep) '
Contact Name: ��`�� ������Qvv � �
Address �G {�i� � �
�City �C�tWCS��S State: �� Zip: � � 5� �
Contact Name: ��`�� �C���P V�,-d�.v (use additional sheet if necessary)
2� r� _
Contact Phone: `7� -� 7 � `t ��C% ;Building Permits:
�� /" �� 'Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: C� �r��\t'C�� ° �'e`^�;(DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out � Building: $
in fuli the information required,completed an accurate piot plan,
and state that all the information as required is correct. I agree to 'Plumbing: $
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $
to the town's zoning and subdivision codes, desi review ap-
proved,inte national Building and Re ' �ntial es and other Mechanical: $
ordinanc of t Town applicabl er��o.
G Total: $�
O ner/Owner's Re esentative Signature(Required) -
�
.. . __._ ___ __. .. .._...._._ ._. . Date Received:
For Office Use Only' � � � D �n r�
Fee Paid: U �
Received From: D
Cash Check# 9y�� � � �(�14
CC; Visa/MC Last 4 CC# exp,date: �i
Authorization#
TOWN OF V,�IL